糖尿病足骨髓炎的骨科诊治进展

Preogress in diagnosis and treatment of diabetic foot osteomyelitis

糖尿病足溃疡是糖尿病中花费最多、治疗最困难的并发症之一,也是非创伤性截肢的最主要原因。糖尿病足骨髓炎是糖尿病溃疡进一步加重的结果,目前针对糖尿病足骨髓炎的诊疗效果仍然令人不甚满意。主要原因在于其诊断难度较高,治疗标准及方案与常规软组织感染大相径庭。本研究结合近年来糖尿病足骨髓炎诊治方面的进展,对糖尿病足骨髓炎的诊治进行总结。

Diabetic foot ulcer is a major complication of diabetes which is the most expensive and the most difficult to deal with and leads to a high rate of non-traumatic amputation. Diabetic foot osteomyelitis results from aggravation of diabetic foot ulcer. Unfortunately, the current therapeutic outcomes of diabetic foot osteomyelitis are still unsatisfactory because of its difficult diagnosis and special treatment protocols which are entirely different from those for conventional soft tissue infections. This paper summarizes the latest advances achieved in diagnosis and treatment of diabetic foot osteomyelitis.